A 61-year-old woman had cholangitis secondary to two cholelithiases [one in the common bile duct (CBD) and one in the cystic duct (Mirizzi syndrome)], which was treated by antibiotics. The patient subsequently underwent a shincterotomy with endoscopic retrograde cholangiopancreatography (ERCP) and, finally, a cholecystectomy by coelioscopy. The postoperative course was marked by biliary leakage. She was transferred to our hospital due to haemorrhagic shock and abdominal pain.